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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: II~ ¡;r. ß.,..¥..~y
CONTRACTOR: ~~ r- ¡¿\-eL--br-rL
PROJECT TO BE INSPECTED: ~\~. L
TYPE OF INSPECTION: ~\
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City of Oshkosh
~spection S"",ices Division
. .5 Church Avenue, PO Box 1130
Óshkosh, WI 54903-1130
Phon" (920) 236-5050
Fax (920) 236-5084
Violations must be corrected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment
and/or occupancy. Upon completing the corrections. the owner/contractor/agent must sign and date at the bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of
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ft'EM#' CODE INSPECTION RESULTS ...
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0 Not A~eport left on site ~Not Approved! Insp. Report given to ~!>Oo\., ( ~"" Ie. r) 0 Mailed/Faxed
Signed ....2l::J-~/ b ~'3I'_-~lf"-
Inspection Services Division Date ofInspection Phone #'
Print Name
Company
Signature:
Date